SPECIAL REPORT | Alternative Reimbursement Models

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Alternative Reimbursement Models

The figure below shows the total benefits paid predicted by the model for COVID-19 admissions adjusted for the risk factors listed above. The results shown are filtered as follows:    

Patients with at least one risk condition General ward admissions only COVID-19 admissions only Females only

Figure 16: Model result: Length of stay by hospital group and age 9.00 8.00

Length of stay (days)

7.00 6.00 5.00 4.00 3.00 2.00

Hosp_Grp_1

Hosp_Grp_2

Hosp_Grp_3

Hosp_Grp_4

1.00

85 years+

80-84 years

75-79 years

70-74 years

65-69 years

60-64 years

55-59 years

50-54 years

45-49 years

40-44 years

35-39 years

30-34 years

25-29 years

20-24 years

15-19 years

10-14 years

5-9 years

1-4 years

less than one year

0.00

Age band

These results are risk adjusted; there is also minimal variation in the length of stay in the general ward across the four hospital groups. The length of stay increases with age. There is an online tool showing the model results (with various scenarios) that has been prepared to allow readers to view the model results. This is available on the following link: https://www.bhfportal.co.za/bhf_global/HOSP/

Board of Healthcare Funders Industry Technical Advisory Committee


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